Bradley R Stork, NP-C
Nurse Practitioner, Family in Bismarck, ND. Individual provider (NPI-1).
NPI number1285675728
StatusActive
Last updated in NPPESAug 16, 2016
Details
- NPI
- 1285675728
- Entity type
- Individual (NPI-1)
- Name
- Bradley R Stork
- Credential
- NP-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 8, 2006
- Last updated
- Aug 16, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | R27167 | ND | Yes |
Practice location
310 N 9th StBismarck, ND 58501-4515
Phone 701-530-8800
Mailing address
310 N 9th StBismarck, ND 58501-4515
Phone 701-530-8800
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